NPIMap

Individual provider Active NPI

Majd I Jaradat, M.D.

  • Nephrology Physician
  • Arlington, TX
National Provider Identifier
1245295989
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M5250 Issued in TX
Practice address
4907 S Collins St
Suite 101
Arlington, TX 76018-1156
Phone
(817) 375-0610
Fax
(817) 375-0640
NPI assigned
Apr 18, 2006
Last updated
Jun 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 01046695 IN
Nephrology Physician 207RN0300X M5250 TX Primary

Addresses

Primary practice location

4907 S Collins St
Suite 101
Arlington, TX 76018-1156

Mailing address

901 W Wall St
Suite 101
Grapevine, TX 76051-7414
Phone (817) 488-6669

Other identifiers 6

IdentifierTypeStateIssuer
7220017OtherTXAETNA
7002130OtherTXCIGNA
196443906MedicaidTX
196443904MedicaidTX
8AT814OtherTXBCBS
P000789480OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070912000069 TX Practitioner - NephrologyPractitioner - Internal Medicine 7911090618

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3801 William D Tate Ave
Suite 105
Grapevine, TX 76051-8755

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01046695INMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NTKC-DFW, PLLC Nephrology Current Accepting new patients
NTKC-DFW, PLLC Nephrology CurrentSince Nov 1, 2009 Accepting new patients

Locations

4907 S Collins St
Ste 101
Arlington, TX 76018
Phone (817) 375-0610

3801 William D Tate Ave
Ste 105
Grapevine, TX 76051
Phone (817) 488-6812

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

  • NTKC-DFW, PLLC

    dba North Texas Kidney Consultants

    • Nephrology Physician
    • Arlington, TX
    • NPI 1598090854
    NPD
  • NTKC-DFW, PLLC

    dba North Texas Kidney Consultants

    • Nephrology Physician
    • Grapevine, TX
    • NPI 1902131261
    NPD

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1245295989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W WALL ST",
            "address_2": "SUITE 101",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517414",
            "telephone_number": "817-488-6669",
            "fax_number": "817-488-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 S COLLINS ST",
            "address_2": "SUITE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181156",
            "telephone_number": "817-375-0610",
            "fax_number": "817-375-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARADAT",
        "first_name": "MAJD",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01046695",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M5250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7220017",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7002130",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196443906",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196443904",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AT814",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P000789480",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.